The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects - PubMed (original) (raw)

Review

. 2018 May;61(5):135-149.

doi: 10.3345/kjp.2018.61.5.135. Epub 2018 May 28.

Sungha Yun 3, Seung-Sik Hwang 2 4, Jung Ok Shim 2 5, Hyun Wook Chae 2 6, Yeoun Joo Lee 7, Ji Hyuk Lee 8, Soon Chul Kim 9, Dohee Lim 3, Sei Won Yang 10 11, Kyungwon Oh 3 11, Jin Soo Moon 2 10 11; Committee for the Development of Growth Standards for Korean Children and Adolescents; Committee for School Health and Public Health Statistics, the Korean Pediatric Society; Division of Health and Nutrition Survey, Korea Centers for Disease Control and Prevention

Affiliations

Review

The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects

Jae Hyun Kim et al. Korean J Pediatr. 2018 May.

Abstract

Growth charts are curves or tables that facilitate the visualization of anthropometric parameters, and are widely used as an important indicator when evaluating the growth status of children and adolescents. The latest version of the Korean National Growth Charts released in 2007 has raised concerns regarding the inclusion of data from both breastfed and formula-fed infants, higher body mass index (BMI) values in boys, and smaller 3rd percentile values in height-for-age charts. Thus, new growth charts have been developed to improve the previous version. The 2006 World Health Organization Child Growth Standards, regarded as the standard for breastfed infants and children, were introduced for children aged 0-35 months. For children and adolescents aged 3-18 years, these new growth charts include height-for-age, weight-for-age, BMI-for-age, weight-for-height, and head circumference-for-age charts, and were developed using data obtained in 1997 and 2005. Data sets and exclusion criteria were applied differently for the development of the different growth charts. BMI-for-age charts were adjusted to decrease the 95th percentile values of BMI. Criteria for obesity were simplified and defined as a BMI of ≥95th percentile for age and sex. The 3rd percentile values for height-for-age charts were also increased. Additional percentile lines (1st and 99th) and growth charts with standard deviation lines were introduced. 2017 Korean National Growth Charts are recommended for the evaluation of body size and growth of Korean children and adolescents for use in clinics and the public health sector in Korea.

Keywords: Adolescent; Child; Growth; Growth charts; Korea.

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Conflict of interest statement

Conflicts of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1

Fig. 1. Secular trends for body mass index for age in Korean children and adolescents. (A) Boys, (B) Girls. NSHE2015, 2015 National School Health Examination; NAS2005, National Anthropometric Survey in 2005; NAS1997, National Anthropometric Survey in 1997; KNGC2007, 2007 Korean National Growth Charts.

Fig. 2

Fig. 2. Secular trends for height for age in Korean children and adolescents. (A) Boys, (B) Girls. NSHE2015, 2015 National School Health Examination; NAS2005, National Anthropometric Survey in 2005; NAS1997, National Anthropometric Survey in 1997; KNGC2007, 2007 Korean National Growth Charts.

Fig. 3

Fig. 3. Process involved in the elaboration of the growth chart for children and adolescents aged 3–18 years. LMS, Lambda-Mu-Sigma.

Fig. 4

Fig. 4. The 2017 Korean National Growth Charts: Height-for-age percentiles, from birth to 36 months, boys.

Fig. 5

Fig. 5. The 2017 Korean National Growth Charts: Height-for-age percentiles, from birth to 36 months, girls.

Fig. 6

Fig. 6. 2017 Korean National Growth Charts: Height-for-age percentiles, from 3 to 18 years, boys.

Fig. 7

Fig. 7. The 2017 Korean National Growth Charts: Height-for-age percentiles, from 3 to 18 years, girls.

Fig. 8

Fig. 8. The 2017 Korean National Growth Charts: Weight-for-age percentiles, from birth to 35 months, boys.

Fig. 9

Fig. 9. The 2017 Korean National Growth Charts: Weight-for-age percentiles, from birth to 35 months, girls.

Fig. 10

Fig. 10. The 2017 Korean National Growth Charts: Weight-for-age percentiles, from 3 to 18 years, boys.

Fig. 11

Fig. 11. The 2017 Korean National Growth Charts: Weight-for-age percentiles, from 3 to 18 years, girls.

Fig. 12

Fig. 12. The 2017 Korean National Growth Charts: Body mass index-for-age percentiles, from 2 to 18 years, boys.

Fig. 13

Fig. 13. The 2017 Korean National Growth Charts: Body mass index-for-age percentiles, from 2 to 18 years, girls.

Fig. 14

Fig. 14. The 2017 Korean National Growth Charts: Weight-for-height percentiles, from birth to 23 months, boys.

Fig. 15

Fig. 15. The 2017 Korean National Growth Charts: Weight-for-height percentiles, from birth to 23 months, girls.

Fig. 16

Fig. 16. The 2017 Korean National Growth Charts: Head circumference-for-age percentiles, from birth to 35 months, boys.

Fig. 17

Fig. 17. The 2017 Korean National Growth Charts: Head circumference-for-age percentiles, from birth to 35 months, girls.

Fig. 18

Fig. 18. Comparison of height-for-age charts for infants and children aged 0–35 months in the Korean National Growth Charts 2007 (KNGC2007) and 2017 (KNGC2017). (A) Boys, (B) Girls.

Fig. 19

Fig. 19. Comparison of weight-for-age charts for infants and children aged 0–35 months in the Korean National Growth Charts 2007 (KNGC2007) and 2017 (KNGC2017). (A) Boys, (B) Girls.

Fig. 20

Fig. 20. Comparison of height-for-age charts for children and adolescents aged 3–18 years in the Korean National Growth Charts 2007 (KNGC2007) and 2017 (KNGC2017). (A) Boys, (B) Girls.

Fig. 21

Fig. 21. Comparison of body mass index-for-age charts for children and adolescents aged 3–18 years in the Korean National Growth Charts 2007 (KNGC2007) and 2017 (KNGC2017). (A) Boys, (B) Girls.

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